WILKES NSG 526 EXAM 2 2026/2027 - CLINICAL MODALITIES ADVANCED PSYCH | FAMILY, GROUP,
MI, EMDR | Q&A; WITH EXPLANATIONS | A+ GRADED
Course: WILKES NSG 526 Clinical Modalities Advanced Psych | 350Q Mixed: A=97 B=89 C=73 D=91 | 2026/2027 Bundle |
Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed
Original 2026/2027 content for Wilkes NSG 526 - Advanced Psych Clinical Modalities. Based on DSM-5-TR, Wheeler Psychotherapy, Stahl Psychopharmacology. Mixed A/B/C/D keys.
For study purposes.
1. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Trauma-informed care principles? (Case 1)
A. No principles
B. Force exposure
C. Confront trauma directly
D. Safety, trustworthiness, peer support, collaboration, empowerment, cultural issues - avoid re-traumatization
Answer: D
Explanation: Trauma-informed: safety, trust, peer support, collaboration, empowerment, cultural sensitivity.
2. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Interpersonal Therapy (IPT) for depression - 4 problem
areas? (Case 2)
A. Only grief
B. Only role
C. No areas
D. Grief, role transition, role dispute, interpersonal deficits
Answer: D
Explanation: IPT 4 areas: grief, role transition, role dispute, interpersonal deficits.
3. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Atypical antipsychotic - metabolic syndrome monitoring?
(Case 3)
A. No labs
B. Weight, BMI, waist, BP, glucose/HbA1c, lipids, EPS, TD via AIMS - clozapine agranulocytosis ANC
C. Only weight
D. No monitoring
Answer: B
Explanation: Atypicals: metabolic syndrome - weight, BP, glucose, lipids. EPS, TD. Clozapine agranulocytosis needs ANC.
4. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Mental Status Exam - thought content vs process? (Case 4)
A. Same
B. Content what client thinks (delusions, SI/HI), Process how thoughts flow (loose, tangential, circumstantial, flight)
C. No difference
D. Only content
Answer: B
Explanation: Thought content delusions/SI/HI, process loose associations, tangential, circumstantial.
5. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] CBT for panic - catastrophic misinterpretation? (Case 5)
A. No CBT
B. Only meds
C. No misinterpretation
D. Catastrophic misinterpretation of bodily sensations - interoceptive exposure, cognitive restructuring
Answer: D
Explanation: Panic CBT: catastrophic interpretation of physical sensations, interoceptive exposure.
6. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Narrative therapy - externalization? (Case 6)
A. Blame person
B. No externalization
C. Internalize problem
D. Externalize problem - person is not problem, problem is problem - re-author story
Answer: D
Explanation: Narrative externalization: problem separate from person.
7. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Psychodynamic therapy transference means? (Case 7)
A. Therapist projects
B. Client projects feelings from past relationships onto therapist - analyze countertransference
C. No meaning
D. No transference
Answer: B
Explanation: Transference client projects past onto therapist, countertransference therapist projects onto client - must be analyzed.
8. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] EMDR phases - for PTSD? (Case 8)
, A. Only 1 phase
B. No phases
C. No use
D. 8 phases: history, preparation, assessment, desensitization, installation, body scan, closure, reevaluation - bilateral stimulation
Answer: D
Explanation: EMDR for trauma: 8 phases with bilateral stimulation to reprocess traumatic memories.
9. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Interpersonal Therapy (IPT) for depression - 4 problem
areas? (Case 9)
A. Grief, role transition, role dispute, interpersonal deficits
B. Only grief
C. No areas
D. Only role
Answer: A
Explanation: IPT 4 areas: grief, role transition, role dispute, interpersonal deficits.
10. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Benzodiazepine long-term risks? (Case 10)
A. No dependence
B. Dependence, tolerance, falls in elderly, cognitive impairment, withdrawal seizures - taper slowly
C. No risks
D. Safe long-term
Answer: B
Explanation: Benzos dependence, tolerance, falls, cognitive decline, withdrawal seizures - short-term use, taper.
11. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Lithium therapeutic range and toxicity signs? (Case 11)
A. No range
B. 5.0 therapeutic
C. No toxicity
D. 0.6-1.2 therapeutic, >1.5 toxicity - ataxia, slurred speech, coarse tremor, confusion, check renal/thyroid
Answer: D
Explanation: Lithium narrow therapeutic 0.6-1.2, toxicity coarse tremor, ataxia, confusion. Monitor kidney, thyroid, hydration.
12. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] CBT for panic - catastrophic misinterpretation? (Case 12)
A. No misinterpretation
B. No CBT
C. Only meds
D. Catastrophic misinterpretation of bodily sensations - interoceptive exposure, cognitive restructuring
Answer: D
Explanation: Panic CBT: catastrophic interpretation of physical sensations, interoceptive exposure.
13. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Cultural humility vs competence? (Case 13)
A. No humility
B. Humility lifelong learning, self-reflection, partnership - not assuming competence - avoid stereotyping
C. Competence assumes mastery
D. Same as stereotyping
Answer: B
Explanation: Cultural humility ongoing self-reflection, partnership.
14. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Atypical antipsychotic - metabolic syndrome monitoring?
(Case 14)
A. No monitoring
B. Weight, BMI, waist, BP, glucose/HbA1c, lipids, EPS, TD via AIMS - clozapine agranulocytosis ANC
C. Only weight
D. No labs
Answer: B
Explanation: Atypicals: metabolic syndrome - weight, BP, glucose, lipids. EPS, TD. Clozapine agranulocytosis needs ANC.
15. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Cultural humility vs competence? (Case 15)
A. Humility lifelong learning, self-reflection, partnership - not assuming competence - avoid stereotyping
B. Competence assumes mastery
C. Same as stereotyping
D. No humility
Answer: A
Explanation: Cultural humility ongoing self-reflection, partnership.
16. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Narrative therapy - externalization? (Case 16)
A. Externalize problem - person is not problem, problem is problem - re-author story
B. No externalization
, C. Internalize problem
D. Blame person
Answer: A
Explanation: Narrative externalization: problem separate from person.
17. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Pharmacology - SSRI first-line for depression - onset?
(Case 17)
A. 1 hour
B. 2-4 weeks full effect, watch for increased suicidal ideation in adolescents/young adults early
C. Immediate
D. No onset
Answer: B
Explanation: SSRI 2-4 weeks, black box warning increased suicidality early in youth.
18. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Solution-Focused Brief Therapy (SFBT) - miracle
question? (Case 18)
A. Past focused only
B. No question
C. Miracle question: If miracle happened tonight problem solved, what would be different? Scaling questions, exceptions
D. No solution
Answer: C
Explanation: SFBT miracle question, scaling 0-10, exceptions when problem not present, future-oriented.
19. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Solution-Focused Brief Therapy (SFBT) - miracle
question? (Case 19)
A. Miracle question: If miracle happened tonight problem solved, what would be different? Scaling questions, exceptions
B. No solution
C. No question
D. Past focused only
Answer: A
Explanation: SFBT miracle question, scaling 0-10, exceptions when problem not present, future-oriented.
20. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Mental Status Exam - thought content vs process? (Case
20)
A. Content what client thinks (delusions, SI/HI), Process how thoughts flow (loose, tangential, circumstantial, flight)
B. No difference
C. Only content
D. Same
Answer: A
Explanation: Thought content delusions/SI/HI, process loose associations, tangential, circumstantial.
21. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Benzodiazepine long-term risks? (Case 21)
A. Dependence, tolerance, falls in elderly, cognitive impairment, withdrawal seizures - taper slowly
B. No risks
C. No dependence
D. Safe long-term
Answer: A
Explanation: Benzos dependence, tolerance, falls, cognitive decline, withdrawal seizures - short-term use, taper.
22. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Mental Status Exam - thought content vs process? (Case
22)
A. No difference
B. Same
C. Content what client thinks (delusions, SI/HI), Process how thoughts flow (loose, tangential, circumstantial, flight)
D. Only content
Answer: C
Explanation: Thought content delusions/SI/HI, process loose associations, tangential, circumstantial.
23. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Family therapy structural - Minuchin - focuses on? (Case
23)
A. Individual only
B. No focus
C. Only child
D. Family structure, subsystems, boundaries, enmeshment/disengagement, join and enact
Answer: D
Explanation: Structural family therapy: structure, subsystems (parental, sibling), boundaries clear/diffuse/rigid, enmeshment vs disengagement.
24. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Narrative therapy - externalization? (Case 24)
, A. No externalization
B. Internalize problem
C. Externalize problem - person is not problem, problem is problem - re-author story
D. Blame person
Answer: C
Explanation: Narrative externalization: problem separate from person.
25. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Family therapy structural - Minuchin - focuses on? (Case
25)
A. Only child
B. No focus
C. Individual only
D. Family structure, subsystems, boundaries, enmeshment/disengagement, join and enact
Answer: D
Explanation: Structural family therapy: structure, subsystems (parental, sibling), boundaries clear/diffuse/rigid, enmeshment vs disengagement.
26. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Trauma-informed care principles? (Case 26)
A. No principles
B. Safety, trustworthiness, peer support, collaboration, empowerment, cultural issues - avoid re-traumatization
C. Confront trauma directly
D. Force exposure
Answer: B
Explanation: Trauma-informed: safety, trust, peer support, collaboration, empowerment, cultural sensitivity.
27. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Exposure and Response Prevention (ERP) is first-line for?
(Case 27)
A. Mania
B. Depression
C. Schizophrenia
D. OCD - exposure to feared stimuli without ritual, habituation
Answer: D
Explanation: ERP for OCD: exposure to obsessions without compulsions, prevents negative reinforcement.
28. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Pharmacology - SSRI first-line for depression - onset?
(Case 28)
A. No onset
B. 2-4 weeks full effect, watch for increased suicidal ideation in adolescents/young adults early
C. Immediate
D. 1 hour
Answer: B
Explanation: SSRI 2-4 weeks, black box warning increased suicidality early in youth.
29. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Trauma-informed care principles? (Case 29)
A. No principles
B. Safety, trustworthiness, peer support, collaboration, empowerment, cultural issues - avoid re-traumatization
C. Confront trauma directly
D. Force exposure
Answer: B
Explanation: Trauma-informed: safety, trust, peer support, collaboration, empowerment, cultural sensitivity.
30. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Interpersonal Therapy (IPT) for depression - 4 problem
areas? (Case 30)
A. Only grief
B. No areas
C. Only role
D. Grief, role transition, role dispute, interpersonal deficits
Answer: D
Explanation: IPT 4 areas: grief, role transition, role dispute, interpersonal deficits.
31. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Which therapy modality is best for client with BPD and
self-harm - intense fear of abandonment? (Case 31)
A. Supportive therapy only
B. Psychoanalysis only
C. No therapy
D. Dialectical Behavior Therapy (DBT) - distress tolerance, emotion regulation, interpersonal effectiveness, mindfulness
Answer: D
Explanation: DBT is gold standard for BPD, self-harm, emotion dysregulation. Skills: distress tolerance, emotion regulation, interpersonal
effectiveness, mindfulness.
MI, EMDR | Q&A; WITH EXPLANATIONS | A+ GRADED
Course: WILKES NSG 526 Clinical Modalities Advanced Psych | 350Q Mixed: A=97 B=89 C=73 D=91 | 2026/2027 Bundle |
Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed
Original 2026/2027 content for Wilkes NSG 526 - Advanced Psych Clinical Modalities. Based on DSM-5-TR, Wheeler Psychotherapy, Stahl Psychopharmacology. Mixed A/B/C/D keys.
For study purposes.
1. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Trauma-informed care principles? (Case 1)
A. No principles
B. Force exposure
C. Confront trauma directly
D. Safety, trustworthiness, peer support, collaboration, empowerment, cultural issues - avoid re-traumatization
Answer: D
Explanation: Trauma-informed: safety, trust, peer support, collaboration, empowerment, cultural sensitivity.
2. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Interpersonal Therapy (IPT) for depression - 4 problem
areas? (Case 2)
A. Only grief
B. Only role
C. No areas
D. Grief, role transition, role dispute, interpersonal deficits
Answer: D
Explanation: IPT 4 areas: grief, role transition, role dispute, interpersonal deficits.
3. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Atypical antipsychotic - metabolic syndrome monitoring?
(Case 3)
A. No labs
B. Weight, BMI, waist, BP, glucose/HbA1c, lipids, EPS, TD via AIMS - clozapine agranulocytosis ANC
C. Only weight
D. No monitoring
Answer: B
Explanation: Atypicals: metabolic syndrome - weight, BP, glucose, lipids. EPS, TD. Clozapine agranulocytosis needs ANC.
4. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Mental Status Exam - thought content vs process? (Case 4)
A. Same
B. Content what client thinks (delusions, SI/HI), Process how thoughts flow (loose, tangential, circumstantial, flight)
C. No difference
D. Only content
Answer: B
Explanation: Thought content delusions/SI/HI, process loose associations, tangential, circumstantial.
5. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] CBT for panic - catastrophic misinterpretation? (Case 5)
A. No CBT
B. Only meds
C. No misinterpretation
D. Catastrophic misinterpretation of bodily sensations - interoceptive exposure, cognitive restructuring
Answer: D
Explanation: Panic CBT: catastrophic interpretation of physical sensations, interoceptive exposure.
6. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Narrative therapy - externalization? (Case 6)
A. Blame person
B. No externalization
C. Internalize problem
D. Externalize problem - person is not problem, problem is problem - re-author story
Answer: D
Explanation: Narrative externalization: problem separate from person.
7. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Psychodynamic therapy transference means? (Case 7)
A. Therapist projects
B. Client projects feelings from past relationships onto therapist - analyze countertransference
C. No meaning
D. No transference
Answer: B
Explanation: Transference client projects past onto therapist, countertransference therapist projects onto client - must be analyzed.
8. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] EMDR phases - for PTSD? (Case 8)
, A. Only 1 phase
B. No phases
C. No use
D. 8 phases: history, preparation, assessment, desensitization, installation, body scan, closure, reevaluation - bilateral stimulation
Answer: D
Explanation: EMDR for trauma: 8 phases with bilateral stimulation to reprocess traumatic memories.
9. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Interpersonal Therapy (IPT) for depression - 4 problem
areas? (Case 9)
A. Grief, role transition, role dispute, interpersonal deficits
B. Only grief
C. No areas
D. Only role
Answer: A
Explanation: IPT 4 areas: grief, role transition, role dispute, interpersonal deficits.
10. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Benzodiazepine long-term risks? (Case 10)
A. No dependence
B. Dependence, tolerance, falls in elderly, cognitive impairment, withdrawal seizures - taper slowly
C. No risks
D. Safe long-term
Answer: B
Explanation: Benzos dependence, tolerance, falls, cognitive decline, withdrawal seizures - short-term use, taper.
11. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Lithium therapeutic range and toxicity signs? (Case 11)
A. No range
B. 5.0 therapeutic
C. No toxicity
D. 0.6-1.2 therapeutic, >1.5 toxicity - ataxia, slurred speech, coarse tremor, confusion, check renal/thyroid
Answer: D
Explanation: Lithium narrow therapeutic 0.6-1.2, toxicity coarse tremor, ataxia, confusion. Monitor kidney, thyroid, hydration.
12. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] CBT for panic - catastrophic misinterpretation? (Case 12)
A. No misinterpretation
B. No CBT
C. Only meds
D. Catastrophic misinterpretation of bodily sensations - interoceptive exposure, cognitive restructuring
Answer: D
Explanation: Panic CBT: catastrophic interpretation of physical sensations, interoceptive exposure.
13. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Cultural humility vs competence? (Case 13)
A. No humility
B. Humility lifelong learning, self-reflection, partnership - not assuming competence - avoid stereotyping
C. Competence assumes mastery
D. Same as stereotyping
Answer: B
Explanation: Cultural humility ongoing self-reflection, partnership.
14. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Atypical antipsychotic - metabolic syndrome monitoring?
(Case 14)
A. No monitoring
B. Weight, BMI, waist, BP, glucose/HbA1c, lipids, EPS, TD via AIMS - clozapine agranulocytosis ANC
C. Only weight
D. No labs
Answer: B
Explanation: Atypicals: metabolic syndrome - weight, BP, glucose, lipids. EPS, TD. Clozapine agranulocytosis needs ANC.
15. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Cultural humility vs competence? (Case 15)
A. Humility lifelong learning, self-reflection, partnership - not assuming competence - avoid stereotyping
B. Competence assumes mastery
C. Same as stereotyping
D. No humility
Answer: A
Explanation: Cultural humility ongoing self-reflection, partnership.
16. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Narrative therapy - externalization? (Case 16)
A. Externalize problem - person is not problem, problem is problem - re-author story
B. No externalization
, C. Internalize problem
D. Blame person
Answer: A
Explanation: Narrative externalization: problem separate from person.
17. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Pharmacology - SSRI first-line for depression - onset?
(Case 17)
A. 1 hour
B. 2-4 weeks full effect, watch for increased suicidal ideation in adolescents/young adults early
C. Immediate
D. No onset
Answer: B
Explanation: SSRI 2-4 weeks, black box warning increased suicidality early in youth.
18. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Solution-Focused Brief Therapy (SFBT) - miracle
question? (Case 18)
A. Past focused only
B. No question
C. Miracle question: If miracle happened tonight problem solved, what would be different? Scaling questions, exceptions
D. No solution
Answer: C
Explanation: SFBT miracle question, scaling 0-10, exceptions when problem not present, future-oriented.
19. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Solution-Focused Brief Therapy (SFBT) - miracle
question? (Case 19)
A. Miracle question: If miracle happened tonight problem solved, what would be different? Scaling questions, exceptions
B. No solution
C. No question
D. Past focused only
Answer: A
Explanation: SFBT miracle question, scaling 0-10, exceptions when problem not present, future-oriented.
20. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Mental Status Exam - thought content vs process? (Case
20)
A. Content what client thinks (delusions, SI/HI), Process how thoughts flow (loose, tangential, circumstantial, flight)
B. No difference
C. Only content
D. Same
Answer: A
Explanation: Thought content delusions/SI/HI, process loose associations, tangential, circumstantial.
21. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Benzodiazepine long-term risks? (Case 21)
A. Dependence, tolerance, falls in elderly, cognitive impairment, withdrawal seizures - taper slowly
B. No risks
C. No dependence
D. Safe long-term
Answer: A
Explanation: Benzos dependence, tolerance, falls, cognitive decline, withdrawal seizures - short-term use, taper.
22. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Mental Status Exam - thought content vs process? (Case
22)
A. No difference
B. Same
C. Content what client thinks (delusions, SI/HI), Process how thoughts flow (loose, tangential, circumstantial, flight)
D. Only content
Answer: C
Explanation: Thought content delusions/SI/HI, process loose associations, tangential, circumstantial.
23. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Family therapy structural - Minuchin - focuses on? (Case
23)
A. Individual only
B. No focus
C. Only child
D. Family structure, subsystems, boundaries, enmeshment/disengagement, join and enact
Answer: D
Explanation: Structural family therapy: structure, subsystems (parental, sibling), boundaries clear/diffuse/rigid, enmeshment vs disengagement.
24. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Narrative therapy - externalization? (Case 24)
, A. No externalization
B. Internalize problem
C. Externalize problem - person is not problem, problem is problem - re-author story
D. Blame person
Answer: C
Explanation: Narrative externalization: problem separate from person.
25. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Family therapy structural - Minuchin - focuses on? (Case
25)
A. Only child
B. No focus
C. Individual only
D. Family structure, subsystems, boundaries, enmeshment/disengagement, join and enact
Answer: D
Explanation: Structural family therapy: structure, subsystems (parental, sibling), boundaries clear/diffuse/rigid, enmeshment vs disengagement.
26. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Trauma-informed care principles? (Case 26)
A. No principles
B. Safety, trustworthiness, peer support, collaboration, empowerment, cultural issues - avoid re-traumatization
C. Confront trauma directly
D. Force exposure
Answer: B
Explanation: Trauma-informed: safety, trust, peer support, collaboration, empowerment, cultural sensitivity.
27. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Exposure and Response Prevention (ERP) is first-line for?
(Case 27)
A. Mania
B. Depression
C. Schizophrenia
D. OCD - exposure to feared stimuli without ritual, habituation
Answer: D
Explanation: ERP for OCD: exposure to obsessions without compulsions, prevents negative reinforcement.
28. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Pharmacology - SSRI first-line for depression - onset?
(Case 28)
A. No onset
B. 2-4 weeks full effect, watch for increased suicidal ideation in adolescents/young adults early
C. Immediate
D. 1 hour
Answer: B
Explanation: SSRI 2-4 weeks, black box warning increased suicidality early in youth.
29. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Trauma-informed care principles? (Case 29)
A. No principles
B. Safety, trustworthiness, peer support, collaboration, empowerment, cultural issues - avoid re-traumatization
C. Confront trauma directly
D. Force exposure
Answer: B
Explanation: Trauma-informed: safety, trust, peer support, collaboration, empowerment, cultural sensitivity.
30. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Interpersonal Therapy (IPT) for depression - 4 problem
areas? (Case 30)
A. Only grief
B. No areas
C. Only role
D. Grief, role transition, role dispute, interpersonal deficits
Answer: D
Explanation: IPT 4 areas: grief, role transition, role dispute, interpersonal deficits.
31. [Exam 2: Family, Group, Motivational Interviewing, EMDR, Trauma-Informed] Which therapy modality is best for client with BPD and
self-harm - intense fear of abandonment? (Case 31)
A. Supportive therapy only
B. Psychoanalysis only
C. No therapy
D. Dialectical Behavior Therapy (DBT) - distress tolerance, emotion regulation, interpersonal effectiveness, mindfulness
Answer: D
Explanation: DBT is gold standard for BPD, self-harm, emotion dysregulation. Skills: distress tolerance, emotion regulation, interpersonal
effectiveness, mindfulness.
